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Research ArticleSpecial Communications

Family Physicians’ Opinions and Attitudes to Three Clinical Practice Guidelines

Robert M. Wolfe, Lisa K. Sharp and Ralph M. Wang
The Journal of the American Board of Family Practice March 2004, 17 (2) 150-157; DOI: https://doi.org/10.3122/jabfm.17.2.150
Robert M. Wolfe
MD
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Lisa K. Sharp
PhD
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Ralph M. Wang
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Article Figures & Data

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    Figure 1.

    Helpfulness of CPGs. ♦, Otitis Media; ▪, Periodic Health Exam; ▴, Antithrombotic Therapy.

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    Figure 2.

    Graduation year versus helpfulness scores. ♦, Help 1; ▪, Help 2; ▴, Help 3.

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    Table 1.

    Characteristics of Survey Recipients

    Respondents (n = 420)
    Board-certified397(94%)
    Year of graduation from medical schoolMedian: 1985
    Mean: 1984
    Currently use CPGs154(38%)
    % Clinical time (S.D.)86(22)
    Location of practice
     Rural141(34%)
     Urban167(40%)
     Suburban85(20%)
     Mix27(6%)
    Type of practice*
     FP Group214(51%)
     Solo practice66(16%)
     Staff-model HMO15(4%)
     University30(7%)
     Multi-specialty group66(16%)
     Other practice72(17%)
    • * Because some physicians indicated more than one practice type, percentages add up to more than 100%.

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    Table 2.

    Guideline Familiarity

    Managing Otitis MediaPeriodic Health ExamAntithrombotic Therapy
    N = 422n%n%n%
    Aware of guideline*14434%14735%15537%
    Accessible in office10124%10926%9422%
    Changed patient care11728%13031%14133%
    • * Number is those fully aware of the guideline.

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    Table 3.

    Limitations of Specific Clinical Practice Guidelines

    Difficult to AccessToo CookbookTime ConsumingCumbersomeNot ApplicableConfusingDo Not Believe inOther
    Otitis (aware = 264)82(31%)54(20%)37(14%)32(12%)18(07%)8(03%)4(02%)34(13%)
    Prevention (aware = 257)74(29%)17(07%)41(16%)17(07%)14(05%)8(03%)3(01%)47(18%)
    Antithrombotic therapy (aware = 223)56(25%)14(06%)9(04%)14(06%)11(05%)3(01%)3(01%)32(14%)
    • Denominator is number at least partly aware of guideline.

    • View popup
    Table 4.

    Preferences for Format of CPGs

    CPG FormatN (%)
    Outline243(58%)
    Algorithm236(56%)
    Flowsheet reminder224(53%)
    Include evidence from literature (EBM)203(48%)
    FPs help decide178(42%)
    Don’t believe in CPGs12(03%)
    Other30(07%)
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The Journal of the American Board of Family Practice: 17 (2)
The Journal of the American Board of Family Practice
Vol. 17, Issue 2
1 Mar 2004
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Family Physicians’ Opinions and Attitudes to Three Clinical Practice Guidelines
Robert M. Wolfe, Lisa K. Sharp, Ralph M. Wang
The Journal of the American Board of Family Practice Mar 2004, 17 (2) 150-157; DOI: 10.3122/jabfm.17.2.150

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Family Physicians’ Opinions and Attitudes to Three Clinical Practice Guidelines
Robert M. Wolfe, Lisa K. Sharp, Ralph M. Wang
The Journal of the American Board of Family Practice Mar 2004, 17 (2) 150-157; DOI: 10.3122/jabfm.17.2.150
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